ELIZABETH G MARTIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

MARTIN

Business Name

ELIZABETH G MARTIN

Original Issue Date

11/15/2012

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021